Medical Billing Specialist

4 days ago


Reston, Virginia, United States Vancouver Sleep Center Full time
Job Summary

We are seeking a highly skilled Medical Billing Specialist to join our team at Vancouver Sleep Center. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and account follow-up for our patients.

Key Responsibilities
  • Resolve insurance claim rejections and denials, and non-payment of claims by payors.
  • Identify trends in billing and follow-up, maintaining working knowledge of state and federal billing guidelines.
  • Responsible for drafting effective appeals to insurance companies for reimbursement of monies owed.
  • Maintain daily account and follow-up work lists.
  • Work with DME specialist to ensure CPAP and BiPAP machine billing is appropriate and timely.
  • Identify, research, and resolve credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
  • Process and maintain all correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
  • Handle patient disputes and submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
  • Communicate appropriately with insurance companies, patients, co-workers and supervisors.
  • Perform credentialing and other duties as needed.
Requirements
  • Associates Degree or Medical Billing Certificate preferred.
  • Minimum of two years' experience in a billing or insurance account follow-up capacity is required.
  • Formal training or college coursework from a medical coding accredited school, specific to medical billing in lieu of experience may be considered.
  • Medical terminology experience required.
  • Knowledge of insurance processes and billing guidelines regulations required.
  • Coding knowledge preferred.
  • Athena Health experience required.
  • Brightree experience would be appreciated.
Preferred Skills
  • Proficient use of computers including Microsoft Office 2010 applications.
  • Skilled in 10-key by touch and keyboarding.
  • Ability to operate general office equipment.
  • Exceptional verbal and written communication skills.
  • Excellent attention to detail and ability to multi-task.
  • Ability to work with minimal supervision, independently, as well as in a collaborative team setting.
  • Strong organizational skills with the ability to prioritize and meet deadlines.
  • Knowledge of Commercial and/or Government Payors.
  • Ability to identify, research, and resolve credit balances, missing payments and unposted cash as it pertains to billing account follow-up.
Physical/Cognitive Requirements
  • Work requires fairly light physical exertion from up to 65% of the time.
  • Ability to lift objects weighing 30 lbs. or less.
  • Work is performed under normal working conditions with adequate lighting and ventilation.
  • Job duties frequently require intense concentration and attention to detail (up to 65% of work time).
  • Ability to work from home if COVID Pandemic recommendations recommend this.


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